The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - The administration projects a substantial decline of about $ 200  m illion in Proposition   56 r evenues between 2020 ‑21 and 2021 ‑22. Although Proposition   56 r evenues are expected to gradually decline on a year ‑over ‑year basis, the administration ’s projected revenue decrease primarily is attributed to the anticipated implementation of Chapter   34 o f 2020 (S B  793 , Hill et. al) which bars retailers from selling flavored tobacco products.
https://lao.ca.gov/Publications/Report/4373

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Yet, even after r emoving from the caseload the 115,000  first ‑time ‑enrolling Medi ‑Cal enrollees that are due to eligibility changes, we are left with average monthly growth of about 8,000 during 2024.
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Keeping these factors in mind, our outlook r eflects a decline in the private hospital fee, with annual revenue falling from nearly $10  billion to several billion dollars. Pursuant to state law, most of the decline in revenue will affect supplemental payments to private hospitals, with only a portion (around 25  percent) resulting in less money for existing Medi ‑Cal costs.
https://lao.ca.gov/Publications/Report/5092

The 2025-26 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Just as these flexibilities appear to have been successful in minimizing the impacts of r edeterminations on Medi-Cal enrollees, the extent to which caseload will return to more normal historical levels if they are allowed to expire will be a key issue to watch.
https://lao.ca.gov/Publications/Report/4941

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - (For a comprehensive description of the PAL process, please see our February 17, 2017 r eport — The 2017‑18 Budget: The New IT Project Approval and Funding Process .) Some of the IT projects within DHCS’s Medi‑Cal IT system modernization initiatives completed the PAL process and started development and implementation, including the Federal Draw and Reporting IT project within CA‑MMIS Modernization.
https://lao.ca.gov/Publications/Report/4375

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Funds could be used on ( 1)  s hort ‑term treatment beds such as those found in CSUs, ( 2)  r esidential treatment facilities that typically last for a few months, or ( 3)  l onger ‑term facilities such as permanent supportive housing for individuals with behavioral health needs.
https://lao.ca.gov/Publications/Report/4379

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - This not only would provide greater consistency (making statewide review and evaluation easier), but also it would ensure that the proposed activities and targets were practicable fo r a public health department.
https://lao.ca.gov/Publications/Report/4544

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - CalAIM is a large package of reforms aimed at ( 1)  r educing health disparities by focusing attention and resources on Medi ‑Cal ’s high risk, high ‑need populations; ( 2)  r ethinking behavioral health service delivery and financing; ( 3)  t ransforming and streamlining managed care; and ( 4)  e xtending federal funding opportunities currently available under the state ’s soon ‑to ‑expire 1115  waiver.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Nevertheless, in the assessment that follows, we re ‑emphasize key considerations and incorporate updated commentary on the Governor ’s proposal to undertake a major set of health care delivery and financing reforms concurrently with COVID ‑ 19 r esponse and recovery activities.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - While the majority of issues are targeted to be addressed in CalHEERS releases over the next 24 m onths (informing the 24 ‑month CalHEERS roadmap), some issues are scheduled to be addressed in a 2024 r elease once the state migrates from its current SAWS to a single system called the CalSAWS.
https://lao.ca.gov/Publications/Report/4408